Active NPIOrganization

Bay State Dental Specialists PC

Dentist, Periodontics in Winchester, Massachusetts

NPI Number1124135439
Practice location
10 Converse Place, 4TH Floor, Winchester, MA 01890
Fax
781-729-0581
Last updated
August 29, 2007

Bay State Dental Specialists PC is a healthcare organization based in Winchester, MA. Bay State Dental Specialists PC practices in Winchester, MA. The NPI Number for Bay State Dental Specialists PC is 1124135439 and holds a License No. 18623 (MA). The current practice location address for Bay State Dental Specialists PC is 10 Converse Place, 4TH Floor, Winchester, MA 01890 and can be reached out via phone at 781-727-4644 and via fax at 781-729-0581.

Provider Profile Details

NPI Number
1124135439
Provider Name
Bay State Dental Specialists PC
Provider Entity Type
Organization
Address
10 Converse Place, 4TH Floor, Winchester, MA 01890
Phone Number
781-727-4644
Fax Number
781-729-0581
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Dr. Noha Anan Elkadry, DMD · President · 781-729-4644
Provider Enumeration Date
August 23, 2006
Last Update Date
August 29, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Converse Place
4TH Floor
Winchester, MA 01890
Zip
01890
Phone Number
781-727-4644
Fax Number
781-729-0581
Winchester, MA 01890Get directions →

Provider Business Mailing Address Details

Address
10 Converse Place
4TH Floor
Winchester, MA 01890
City
Winchester
State
MA
Zip
01890
Phone Number
781-727-4644
Fax Number
781-729-0581

License Information

License Number
18623
License State
MA
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bay State Dental Specialists PC?

The NPI number of Bay State Dental Specialists PC is 1124135439. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Bay State Dental Specialists PC?

Bay State Dental Specialists PC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 18623.

Where does Bay State Dental Specialists PC practice?

The practice location is 10 Converse Place, 4TH Floor, Winchester, MA 01890. The office can be reached at 781-727-4644 (phone) or 781-729-0581 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124135439 directly on the NPPES registry website.

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